What is the average Google rating for a med spa? 4.87 stars, and why that's table stakes
The average US med spa in our study has a 4.87-star Google rating. Every reported city averages between 4.74 and 4.92 stars. When nearly everyone is near-perfect, a great rating gets you into the conversation, but it doesn't win it.
- National average: 4.87★ across 555 med spas in 20 metros.
- Highest city averages: Washington DC (4.92★), Nashville (4.92★), Las Vegas (4.92★).
- Lowest: San Francisco (4.74★), Houston (4.79★), Dallas (4.82★).
- Because ratings barely differ, patients compare review count, recency, replies and booking ease instead.
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Average med spa Google rating in 19 US cities
Short answer: 4.87 stars nationally, and between 4.74 and 4.92 in every reported city.
| # | Metro | Med spas | Avg rating |
|---|---|---|---|
| 1 | Washington DC | 20 | 4.92★ |
| 2 | Nashville | 37 | 4.92★ |
| 3 | Las Vegas | 20 | 4.92★ |
| 4 | Miami | 20 | 4.91★ |
| 5 | Orlando | 64 | 4.91★ |
| 6 | Scottsdale | 47 | 4.9★ |
| 7 | Austin | 20 | 4.9★ |
| 8 | Boston | 20 | 4.89★ |
| 9 | Denver | 20 | 4.89★ |
| 10 | Philadelphia | 20 | 4.88★ |
| 11 | Seattle | 20 | 4.88★ |
| 12 | New York | 33 | 4.87★ |
| 13 | Chicago | 37 | 4.87★ |
| 14 | Atlanta | 20 | 4.87★ |
| 15 | San Diego | 20 | 4.85★ |
| 16 | Los Angeles | 38 | 4.84★ |
| 17 | Dallas | 34 | 4.82★ |
| 18 | Houston | 36 | 4.79★ |
| 19 | San Francisco | 20 | 4.74★ |
| United States | 555 | 4.87★ |
Mean Google rating. Phoenix (9 med spas) is below our reporting minimum of 10 and not shown. City samples swing more than national figures.
Why a 4.9 rating doesn't set you apart
Short answer: when almost every option on the map shows close to 4.9 stars, patients look at the things that do differ.
Ratings are compressed at the top: the gap between the highest- and lowest-rated cities is less than two-tenths of a star. For a patient comparing three med spas nearby, the stars look the same. What looks different is:
- How many reviews each has. A typical US med spa has 148, but the spread is wide. See how many reviews a med spa needs.
- How recent they are. The median med spa gets about 6 new reviews a month.
- Whether the owner replies. Owners reply to about 61% of reviews on average.
- What the reviews say, especially about booking. See the booking mismatch.
Protecting a high rating still matters; a drop below your city's average would be visible. But a plan that stops at "keep our rating high" is protecting table stakes.
Method: Google ratings for 555 US med spas across 20 metros, from Google Places data collected in September 2026. Reviews-per-month and reply figures come from a 115-spa review subsample. See the methodology & data.
What US med spa patients expect, and where they don't get it
Findings from our study of 555 US med spas across 20 metros and about 3,000 patient reviews. Read the findings below, or download the complete report.
Related pages from the US team
How many reviews does a med spa need?
Review counts vary far more than ratings.
Benchmarks for 19 US cities
Every city figure in one table.
State of Med Spa Google Presence 2026
The full public study.
Med spa marketing, USA
How we help US med spas grow.
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We benchmark your last 90 days, agree monthly goals with you, and track them live on Ichelon Agency OS with a report every Monday. Performance-Linked Payout Models are available. Our US leadership is based in Dallas, and strategy calls run in US business hours.
Common questions
What is a good Google rating for a med spa?
The US average in our study of 555 med spas is 4.87 stars, and every reported city averages between 4.74 and 4.92. A rating well below your city's average is likely to stand out against local competitors.
Which city has the highest-rated med spas?
Among the 19 metros we report, Washington DC has the highest average at 4.92 stars. City differences are small (a few hundredths of a star) and samples are 20 to 64 med spas per city, so treat rankings as indicative.
Which city has the lowest-rated med spas?
San Francisco has the lowest average among reported metros, at 4.74 stars, which is still a strong rating.
Does a higher rating help a med spa rank on Google?
Our study describes visible patterns, not Google's ranking formula. What it shows is that ratings barely differ between med spas, so they do little to set one apart; review volume, recency and replies vary much more.
A note on this guide: it explains marketing practice, not legal advice. Rules on privacy, advertising and insurance change and vary by state, so confirm anything compliance-related with your own counsel.
How does your med spa compare with your city?
A free 30-minute call with the US team. We'll benchmark your profile against your city's numbers.